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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384000798
Report Date: 09/12/2019
Date Signed: 09/30/2019 09:45:11 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/05/2019 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20190805145825
FACILITY NAME:FRANDELJA ENRICHMENT CENTER (INFANT)FACILITY NUMBER:
384000798
ADMINISTRATOR:YOUNG, SANDRAFACILITY TYPE:
830
ADDRESS:950 GILMAN STREETTELEPHONE:
(415) 822-1699
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94124
CAPACITY:40CENSUS: 29DATE:
09/12/2019
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tracy ListTIME COMPLETED:
10:20 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child sustained an injury while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Singh and Saini met with program director, Tracy List, for the complaint investigation. Purpose of the inspection was explained. Present, there are 29 children in care.

During the investigation for the above allegations, LPA Singh interviewed the teachers from the child’s classroom and executive director, Gladys Harris. LPA reviewed the video recording for the infant room and the play yard. During the interviews, all of the staff members stated that the child was not observed being injured at the facility. Per staff, the child had normal day at facility. LPA did not observe the child sustaining injury in video record for infant classroom. Play yard video recording is not clear because there is a tree blocking the camera.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
No deficiencies are cited today. Copy of this report is reviewed and provided to the program director. Notice of site visit is posted and shall remain posted for next 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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